i appeared at one of the cac meet togs discuss this scope of work, but what i would also propose is that i really appreciated all of the feedback that i heard from the public today, is the very first task that we are proposing in a scope of work is to refine the evaluation framework and methodology and i think that is really a great place to you know, nail down what exactly the corridors are and address some of these suggestions that have come up and would be happy to accommodate that, and i think that it is important for us to get something approved just because the time frame here is short to actually do the analysis and be on schedule with the eir process and i think that maybe i can invite peter to talk about the over all out reach that has been done to date for the assessment. >> thank you. chair. >> peter albert. thanks. and what i hope helps to clarify is that we approach the water assessment is the first phase was developing the strategies and the second was to analyze the solution and

where we are getting so much help with this study and i appreciate liz coming to one of our meetings and talking about it is that we intended to do this analysis and that we have had the ongoing part of your workshops and community meetings but you are helping us, and you do it much more quicker using the same modeling tools and so i see this as pushing forward, ahead of schedule what we are hoping to do and with the full skill sets of the authority which are considerable and i hope that understanding that this was phase two of the assessment and the work that the authority is doing, that would have happened concurrently with the ier now proceeds the eir. >> i want to note for the record that we have been joined by the former mayor who is here and i guess that i do still have a concern that we are not binding ourselves to a scope that may be too narrow and so would i like to know if there is an opportunity, to get

additional feedback. i think that we should talk to people on both sides of this project. and to make sure that was whatever you think about the project and at least you are taking into consideration all of the issues that have been raised. and i have to say that i think that the objectivity, obviously should be to do it expidiciously and do it right. and this project and the scope of it is too important to not do it right. i want to be the opportunity for us to take into account expanding the scope, if people on either side of this project have additional suggestions because it is better to get the scope right now, than to change it down the road >> just to sure, as far as the

water front assessment and i am looking at this complimentary effort that gives us extra analysis and i think that it is the determination of the board. and but i think that will be terrific, if that is the clarification that liz was defining as part of the task and that works nicely for our progress as well. >> if i could respond to that. >> i want to take ownership over the fact that our office did not speak directly with our neighborhood leaders around the scope that we worked with on sfmta and we have so many balls and we did incorporate the feedback that they had given when we sat down to go over the scope and i did suggest that we have a meeting with sfta and a group of our residents that are interested in giving feedback on the assessment and we are happy to organize that and my apologies for not including folks, you know, in getting feedback for the assessment. so i want to make sure that we take ownership for that. i think there it is important

to have that meeting. and a couple of things that i will just say, i think as we are closing this hearing i know that we have a board meeting coming up soon is that we are committed to this process and i think that it is incredibly important for our residents and i think that we heard it in public comment and we begin to address the transportation deficiencies today and as we talk about the projects it is not just the warrior's arena, we are talking about the major development, on pier 70 and in the transbay neighborhood and all of the projects are projected to produce, 8529 units in this very small part of our city and project jobs at 40,725 and while these are really great numbers, i believe in growth and density, we have to make sure that our neighborhoods have the faith that we are going to be able to provide the infrastructure that is needed to support this development and growth. otherwise, the question is should we continue to grow, if

we are not able to provide that level of infrastructure and on the second issue that several of the residents brought up, including dph, thinking about our air quality, and i would be really interested in talking about avalos and mar, and their part of the bay area air quality and management district, and i would like to learn little bit more about that. i definitely hear that loud and clear, i know in my own house you know that just the windows that i open have a thick layer of black dust and the windows that i never open i never have to clean the sills and it is clearly from the congestion in the neighborhood and i know that that is real and i am glad that was brought up and i was struck in the budget and legislative analyst report in june that supervisor mar had commissioned that the highest rates of asthma in the bay view and south hill and actually in

telegraph hill as well and so it is along the water front is where we are seeing the highest rates, it is not just our district but i am sure that supervisor chiu and cohen are concerned as well, and something that the city needs to take a closer look at. >> would i like to continue to examine how we identify the funding for these project and i am very interested in the video enforcement because that is not putting officers out on the streets and in the recent visits to korea i was struck that they had 300 cameras that just do parking traffic and traffic parking enforcement throughout the city and while the traffic continues to move slowly t moves and that is something that i am very interested in pursuing and i am interested in congestion pricing and we need to have a discussion on that and last alooking at the tep and seeing how we can expand the lines beyond second street to address all of the residents that we have living in that part of

town. but i do appreciate all of the commissioners time and all of the department's time, and i know that everyone believes that this is an incredibly important issue and look forward to continue to work on this with you and of course our residents. >> thank you, mr. chair, and i just want to note a couple of points, first of all, thank you commissioner kim, and i don't think that there is a need for an apology there is so much going on and i think that it is a great thing that you will make sure that some of the residents that are here are included and i would actually ask that we go beyond that and we really think of any other group that may have been left out because there are so many neighborhoods that will be impacted. i mean, i think that we should be talking to as many merchant groups and resident groups and other community organizations to make sure that their feedback is at least considered, in determining the right scope, and so, i will hope that happens, because i think that we want to get this

right, and you know, we as a city right now, the mayor is taking about, and the others, talking about how we need billion and billions of dollars, and added to this system to meet our transportation needs. and you know, when you are talking about adding you know, a lot more development to that equation, i don't even know what the actual number will be. so i think that it is an opportunity for us to make sure that we do this right, and i would rather do it right than move it too fast. and so that is what i hope happens. and i think that we owe it to the residents to make sure that everyone is included in this process. >> thank you. and i want to thank them for all of the work that went into presenting this scope today and i think that when i and when supervisor kim when we requested this analysis, i know that i am speaking for myself at least, this is really what i had m mind it is taking a very

deep look at what the transit impacts of the project will be, as well as the broader analysis of the transit impacts of all of the projects in the area. and we know that we have a sad history in this town of doing development and not adequately taking into account transit impacts or some exceptions like treasure island and park merced and i hope that hunter's point, but, there are, and we put a lot of development in this town without adequately dealing with the transit issues, and i know that we have had conversations with mr. rich and others to make sure that that stops. i know that we are going to be doing a full eir on the pier 30-32 pro-yekt project and i

think that the analysis is an overlap with the ier but it is not exactly the same and it is not complete, overlap, the eir analyzing certain things so that we have information in determining you know, the environmental impacts. and this is also very relevant to the nitty grity negotiations around the development agreement and what kind of transportation enhancements and changes, we need, what the project will contribute to that. and so forth. and so, just to be clear, that in this scope as i understand it, is not somehow just acceleration of the eir analysis and so i am comfortable with the scope and i think that it is great that we are bringing in the ta in and in this way in addition to the role in the ier as a

separate, set of eyes and it is always good to have multiple groups around the table. and doing the analysis, and i know that both the mta and mr. albert in particular, as well as the ta have pretty deep experience when it comes to doing transit modeling and analysis and i think that we will come up with good product. >> great, thank you. >> colleagues? >> and thank you for bringing this items forward. and i think that it is a really important as we looking long term at the water front and the proposed projects looking forward and so we can close this hearing and work towards approving this item. >> so, item number 12, is before us, and can we colleagues have a roll call? >> mr. avalos? >> aye. >> breed? >> aye. >> campos. >> aye. >> chiu. >> absent. >> cohen? >> aye.

>> farrell. >> absent. >> kim? >> aye. >> and commissioner mar >> aye. >> commissioner tang >> aye. >> and weiner. >> aye. >> and commissioner yee. >> aye. >> the item passes. >> and the item passes. >> okay, colleagues, we have the next item and item 13, and the potential closed sessioned concerning the executive director's performance goals for the fiscal year and these are goals that i worked on executive director over the past several months and we appointed her to the exclusive director position and we also had a personnel committee meeting and i feel great about what she has put forward but given that we don't have the full board here, i think that it would be good to defer this to the next full board meeting and we could all weigh in. and i would feel most comfortable if we had eleven members that were part of this rather than the 8 that are here right now and so we defer this item to the next full board

meeting and i don't think that is going to change very much. the work that miss chang and the ta are doing and i encourage you to review and in our packet, what is there for the next meeting again. >> and okay. so let's item number 13, we can have public comment. >> and seeing no one come forward we will close the public comment on item 13. and we can go on to our next item. >> 14, introduction of new items. >> this is an information item. >> colleagues? >> commissioner mar? >> yeah, quickly, as many of you know in the procidio in commissioner farrell's district there are three finalists that are vying to build the facilities at san francisco treasured chrisy field and i know that the trust is going through a process of analysis and the proposals are all different ranging from finance and nature center, to george

lucas's proposal for a museum to show case his collections. there are many factors that i think that they are looking at to find the best fit for this historic and environmentally sensitive area. but transportation needs i think should be a key concern and over the past decade, muni and the mta has cut all service and the rebuilding of the drive or the procidio drive, is really a critical area that is reshaped the transportation landscape in the area and i am requested that we analyze the network, include doyle drive and the shuttle and also the bicycle and pedestrian infrastructure and determine which of the proposal and how they will impact the general region and so i am requesting

to the staff. >> the public comment for this item? >> and seeing none come forward we will close public comment. >> item 15, public comment. >> we have general public comment, anyone who wants to comment on any item that is not on the ago ahead agenda. >> seeing no one come forward we will close public comment. >> item 16. >> adjournment. >> colleagues we are adjourned. thank you.

when a resident of san francisco is looking for health care, you look in your neighborhood first. what is closest to you? if you come to a neighborhood health center or a clinic, you then have access it a system of care in the community health network. we are a system of care that was probably based on the family practice model, but it was really clear that there are

special populations with special needs. the cole street clinic is a youth clinic in the heart of the haight ashbury and they target youth. tom woodell takes care of many of the central city residents and they have great expertise in providing services for many of the homeless. potrero hill and southeast health centers are health centers in those particular communities that are family health centers, so they provide health care to patients across the age span. . >> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone.

one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in prenatal care which occurs over the next 9 months. group prenatal care is designed to give women the opportunity to bond during their pregnancy with other women that have similar due dates. our doctors here are family doctors. they are able to help these women deliver their babies at the hospital, at general hospital. we also have the wic program, which is a program that provides food vouchers for our families after they have their children, up to age 5 they are able to receive food vouchers to get milk and cereal for

their children. >> it's for the city, not only our clinic, but the city. we have all our children in san francisco should have insurance now because if they are low income enough, they get medical. if they actually have a little more assets, a little more income, they can get happy family. we do have family who come outside of our neighborhood to come on our clinic. one thing i learn from our clients, no matter how old they are, no matter how little english they know, they know how to get to chinatown, meaning they know how to get to our clinic. 85 percent of our staff is bilingual because we are serving many monolingual

chinese patients. they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in front of my eyes. maybe they have never been able to go out of boundaries, their lives have been so rigid to sort of expressing that makes tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we

treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol or their hepatitis b. we actually provide group medical visits and group education classes and meeting people who have similar chronic illnesses as you do really helps you understand that you are not alone in dealing with this. and it validates the experiences that you have and so you learn from each other. >> i think it's very important to try to be in tune with the needs of the community and a lot of our patients have -- a lot of our patients are actually immigrants who have a lot of competing priorities, family issues, child care issues, maybe not being able to find work or finding work and not being insured and health

care sometimes isn't the top priority for them. we need to understand that so that we can help them take care of themselves physically and emotionally to deal with all these other things. they also have to be working through with people living longer and living with more chronic conditions i think we're going to see more patients coming through. >> starting next year, every day 10,000 people will hit the age of 60 until 2020. . >> the needs of the patients that we see at kerr senior center often have to do with the consequences of long standing substance abuse and mental illness, linked to their chronic diseases. heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into

your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of san francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic

outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effective >> we've never been in so much focus worldwide and will not be this this is a the moment in time when a story going and make a wish is a program that fulfills wishes for children we operate in every cities there are 62 chapters. our chapter was formed in 8984 we fulfilled 24 wishes. our chapter covers from movntd

ray 17 communities and we expect to fully 3 hundred and 50 wishes this year. we send verizon's it out to the wish families and interviews the wish child and if you do their heartfelt wish then go to work to make it happen. dismissals is a 5-year-old boy who was diagnosing diagnosed with life without parole when he was 20 months old he's 5 hose now in remission he had his port removed hose monopoly on the chemotherapy. this particular wish the parents wanted to wait until he had

energy. i began assigning this wish with the family in march and started to understand the two miles how are we going to achieve that i made a bold statement into turning this into goth am city. it codify catapulted. so, now it's a much for ininaccurate indicate from the divorce. people starting twoet and reposting and it went viral. it was incredible about make a wish he wanted to be thinking about being batman.

there's been a lot of super issues that have happened cross the country but i think that can only happen in san francisco the mayors on board and the city hall it's an incredible outpouring and i love how san francisco is in the spotlight here and people around the world sending their love to san francisco. you kids we thank you for your encourage and we wish we can erase the pain we hope this is the day of magic and that you'll remember this forever. bat kid forever in san francisco >> san francisco is unique in this way and it's part of our compassion and we have a civic duty to be involved and people

are stepping forward if in huge way. it's about san francisco and it's inspired by miles and about every child who has a severe